Tri-city Orthodontics, Llc | |
3200 Duportail St, Ste 203 Richland WA 99352 | |
(509) 946-7689 | |
Not Available |
Full Name | Tri-city Orthodontics, Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 3200 Duportail St, Ste 203, Richland, Washington |
Authorized Official Name and Position | Jonathan Collette (OWNER) |
Authorized Official Contact | 5093666882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tri-city Orthodontics, Llc 3200 Duportail St, Ste 203 Richland WA 99352 Ph: () - | Tri-city Orthodontics, Llc 3200 Duportail St, Ste 203 Richland WA 99352 Ph: (509) 946-7689 |
NPI Number | 1164089934 |
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Provider Enumeration Date | 05/28/2019 |
Last Update Date | 05/28/2019 |
Identifier | Type | State | Issuer |
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1164089934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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